A conversation with Dr. David Dare, MD
Shoulder pain after activity is a common concern—especially in athletes or active individuals engaging in overhead motion. In this Q&A, Dr. David Dare, a sports medicine physician at Raleigh Orthopaedic Clinic, discusses a typical case involving post-tennis shoulder pain and explains how rotator cuff impingement develops, how it’s diagnosed, and what treatment options are available.
Q&A with Dr. David Dare
What to Know About Rotator Cuff Impingement
Question: I’m not sure what I did, but I started to have shoulder pain about three weeks ago after playing more tennis than normal while away on vacation. It hurts when I raise my arm and at night when I sleep. What should I do?
Answer: The most common cause of shoulder pain in this scenario is rotator cuff impingement. It is common, especially in athletes who do a great deal of repetitive overhead motion. This results in contact of the acromion (bone on the top of the shoulder) with the top side of the rotator cuff. It often results in sudden pain with reaching movements, pain with overhead motion, and can morph into night pain and weakness.
Early recognition and treatment is important. If left unchecked, over time, it can result in the development of a rotator cuff tear. The diagnosis can typically be made by a surgeon’s exam and x-rays of the shoulder.
Most cases can be treated without surgery by an ample amount of rest, anti-inflammatories and physical therapy. A steroid (cortisone) injection can be helpful as well. Occasionally, arthroscopic (minimally invasive) surgery is required to perform an acromioplasty, which shaves the bone to allow more room for the rotator cuff to move free of impingement.
Schedule an Appointment with Raleigh Orthopaedic
If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.
Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.